Provider Demographics
NPI:1962791830
Name:SOCIAL BUTTERFLY, INC.
Entity type:Organization
Organization Name:SOCIAL BUTTERFLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SPEECH-LANGUAGE PATHOLOGI
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:LARIS
Authorized Official - Last Name:ZACHOS
Authorized Official - Suffix:
Authorized Official - Credentials:M S, CCC-SLP/L
Authorized Official - Phone:708-533-1543
Mailing Address - Street 1:8305 HIGHPOINT CIR APT G
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-6607
Mailing Address - Country:US
Mailing Address - Phone:708-533-1543
Mailing Address - Fax:
Practice Address - Street 1:8305 HIGHPOINT CIR APT G
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-6607
Practice Address - Country:US
Practice Address - Phone:708-533-1543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty